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Lakeland Hospital St Joseph

Schedule: Hybrid, Full-time, Monday - Friday

Job Summary

Maintains departmental business systems and other business processes by ensuring accuracy and consistency with departmental requirements and regulatory agency standards. Accountable for tasks impacting organizational cash flow, compliance, patient satisfaction, and confidentiality. Responsible for analyzing, developing, and establishing charge processes and procedures throughout the organization to maintain charge integrity in compliance with Spectrum Health and other regulatory agencies.

Essential Functions

+ Maintains revenue integrity and patient satisfaction by ensuring accuracy of all medication and/or supply prices and charge methodologies and maintaining interdepartmental revenue.

+ Reviews and makes recommendations regarding charges / fee structure, revenue cycle business systems, or related processes. Research patient access, coding and billing requirements when new procedures or regulatory changes are introduced.

+ Develops charge reconciliation processes to assure all charges are entered for patients within the entire hospital system, collaborates with clinical staff on charge capture best practices, and performs internal and external audits to assure compliance with charge reconciliation processes.

+ Communicates, collaborates, and acts as a consultant to others within and outside the department related to assigned tasks to facilitate continuity and coordination of services. Keeps upper management and other teams within the pharmacy and hospital system informed concerning progress / problems.

+ Coordinates required updating of CPT / HCPCS codes, bill edits, third party payer changes or other revenue cycle regulatory requirements.

+ Assists in the resolution of chargemaster revenue issues across the delivery system, such as patient access, billing or denials, and develops systems to proactively address trends.

+ Facilitates the development of strategies for the evaluation and implementation of assigned tasks, such as recommended changes to business systems, reimbursement methodologies, or revenue cycle efficiencies, working collaboratively with teams / task forces / consultants.

+ Responsible for monitoring work queues and reports related to medication charges and government regulations. Uses department-specific knowledge and experience to identify medication charge and charting inconsistencies and ensures the proper resolution.

Qualifications

Required

+ Bachelor's Degree or equivalent in related field

+ 3 years of relevant experience different areas of the health system such as surgery, pharmacy, purchasing, billing, coding, reimbursement, supply chain, technology & information solutions, and/or finance. Required

1 or more listed, preferred

+ CRT-Pharmacy Technician, Certified (CPHT) - PTCB Pharmacy Technician Certification Board Pharmacy Upon Hire

+ CRT-Exam for the Certification of Pharmacy Technicians (ExCPT) - NHA National Health career Association Upon Hire

+ LIC-Pharmacy Technician - STATE_MI State of Michigan Pharmacy Upon Hire

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

How Corewell Health cares for you

+ Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here (https://careers.corewellhealth.org/us/en/benefits-new) .

+ On-demand pay program powered by Payactiv

+ Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!

+ Optional identity theft protection, home and auto insurance, pet insurance

+ Traditional and Roth retirement options with service contribution and match savings

+ Eligibility for benefits is determined by employment type and status

Primary Location

SITE - Lakeland Hospital St Joseph - 1234 Napier Ave - St Joseph

Department Name

Business Operations - Surgical Services - Corporate

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8 a.m. to 4:30 p.m.

Days Worked

Monday through Friday

Weekend Frequency

N/A

CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.